多学科整合治疗管理模式在老年患者医疗管理中的应用

Application of multidisciplinary integrated management model in medical management of elderly patients

目的 探讨多学科整合治疗管理模式在老年患者医疗管理中的应用价值.方法 选取运城市中心医院2014年10月至2015年12月收治的老年患者226例为研究对象,采用随机数字表法分为对照组和观察组,每组113例;对照组患者给予传统医疗管理模式,观察组患者给予多学科整合治疗管理模式,比较两组治疗效果、住院时间、并发症发生率、治疗满意度、简易精神状态评价量表（MMSE）评分、功能综合评定量表（FCA）评分及Tinetti平衡与步态量表评分差异.结果 观察组总有效率（95.58%）明显高于对照组（79.65%）（χ2=13.21,P=0.000）;观察组病死率（1.77%）明显低于对照组（7.96%）（χ2=4.68,P=0.004）;观察组治疗满意度（92.04%）明显高于对照组（77.88%）（χ2=8.86,P=0.003）;观察组治疗后的MMSE评分[（25.17±4.43）分]、FCA评分[（77.35±8.35）分]及Tinetti平衡与步态量表评分[（26.45±4.25）分]均显著高于对照组[（20.13±3.07）分,（65.32±8.88）分及（21.03±3.30）分]（t=-2.93、-3.11、-3.18,P=0.025、0.014、0.006）.结论 多学科整合治疗管理模式可以显著提高老年患者的治疗效果,缩短老年患者的住院时间,减少老年患者并发症发生率,提高老年患者的治疗满意度,改善患者出院后的生存质量,是一种新型高效、合理的治疗管理模式,值得在临床上大力推广.

Objective To investigate the clinical efficacy of multidisciplinary integrated treatment and management model in the medical management of elderly patients.Methods 226 elderly patients treated in our hospital from October 2014 to December 2015 were randomly divided into observation group and control group,113 cases in each group.Patients in the control group were treated with traditional medical management model,while patients in the observation group were treated with multidisciplinary integrated treatment and management model.The therapeutic effect,hospital stay,incidence of complications,treatment satisfaction,MMSE score,FCA score and Tinetti score between the two groups were compared.Results The total effective rate （95.58%） in the observation group was significantly higher than that in the control group （79.65%） （χ2=13.21,P=0.000）.The mortality rate in the observation group （1.77%） was significantly lower than 7.96% in the control group （χ2=4.68,P=0.004）.The satisfaction rate of the observation group （92.04%） was significantly higher than 77.88% of the control group （χ2=8.86,P=0.003）.The MMSE score[（25.17±4.43）points],FCA score[（77.35±8.35）points]and Tinetti score[（26.45±4.25）points]of the observation group were significantly higher than those in the control group[（20.13±3.07） points,（65.32±8.88） points and （21.03±3.30） points,t=-2.93,-3.11,-3.18;P=0.025,0.014,0.006].Conclusion Multidisciplinary integrated treatment management model can significantly increase the therapeutic effect,shorter hospital stay,reduce the incidence of complications,improve patients＇ satisfaction,and improve the quality of life,so it is a new type of efficient and rational therapeutic management model and worthy of clinical promoting.